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Alcohol Abuse, Nervous SystemPhase 2PoC AlcoholNCT02800083

A Trial Evaluating Pitolisant (BF2.649) in Alcohol Use Disorder Treatment

A Phase 2 study testing Pitolisant (BF2.649) in people with Alcohol Abuse, Nervous System, run by Bioprojet.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The study primary end point is the decrease in the number of monthly heavy drinking days (HDD) (≥ 60 g/day in men and ≥ 40 g/d in women) from baseline to the end of the double blind Randomized Treatment (RT). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Alcohol Abuse, Nervous System
What is being tested?
Pitolisant (BF2.649)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
No sites listed yet
Study dates
Oct 2016to Dec 2019
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female with moderate or severe DSM-5 alcohol use disorder (based on the alcohol use disorders section of the MINI Plus)
  • Ages 18-65.
  • Low to moderate alcohol withdrawal symptoms: CIWA-Ar scale <10 at baseline assessment
  • Normal weight: 18 kg/m2 ≤ BMI ≤ 35 kg/m2.
  • Excessive alcohol use: number of heavy drinking days (≥ 60 g/day in men and ≥ 40 g/d in women) ≥15 during 30 days prior to screening and ≥7 during the 2 weeks between screening and baseline.
  • Treatment-seeking, treatment goal: reduced drinking or abstinence
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  • If fertile, both males and females must agree to use effective birth control. Females of child-bearing potential must use a medically accepted effective method of birth control, agree to continue this method for the duration of the study and be negative to serum pregnancy test performed at the screening visit. Females should not be breast-feeding.
  • Adequate social support according to the investigator to comply with the study requirements described in the protocol (e.g. transportation to and from trial site, self-rating scales, drug compliance, scheduled visits, etc.).
  • Voluntarily expressed willingness to participate in the study, understanding protocol procedures and having signed and dated an informed consent prior to the start of protocol required procedures while not intoxicated (BAC<0.05).
  • Willing to receive psychosocial support

Who cannot join

  • History of delirium tremens, epilepsy, or withdrawal seizures
  • Clinical depression or suicidality: Beck Depression Inventory (BDI) < 16 and suicidality (Item G =0)
  • Recent illicit drug use, i.e. cannabis, cocaine, amphetamines or opioids.
  • Clinically significant cardiovascular, hematologic, severe hepatic impairment or (FLTs> 3 ULN), renal (Stage 2 and 3 according to international classification of renal kidney disease), neurological, endocrinological abnormalities or abnormal clinical laboratory results (in most cases > 3ULN).
  • History of serious head trauma or injury causing loss of consciousness that lasted more than 3 minutes.
  • HIV positive; HCV positive; HBsAg positive
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  • History of psychosis, or current severe psychiatric disorder, e.g. schizophrenia, bipolar disorder, severe depression or organic brain syndrome unrelated to alcohol abuse
  • Physical dependence on sedatives or hypnotics that requires pharmacologically supported detox.
  • Receiving ongoing alcohol use disorder medication (e.g. Baclofen)
  • Other active clinically significant illness, which could interfere with the study conduct or counter-indicate the study treatments or place the patient at risk during the trial or compromise the study participation.
  • Known history of syncope, arrhythmia, myocardial infarction or any known significant ECG abnormality
  • Known hypersensitivity to the tested treatment including active substance and excipients.
  • Participation in clinical trial and receipt of investigational drug(s) during previous 60 days, except as explicitly approved by the Principal Investigator.
  • Insufficient medical insurance according to local regulations.
  • Pregnant woman or a pregnancy detected with a positive serum pregnancy test performed at the screening visit or lactating women
  • Male subject who wants to conceive a child during the duration of the study.

About this study

Official title: A Multisite Randomized, Double-Blind, Placebo-Controlled Trial Evaluating Pitolisant (BF2.649) For Alcohol Use Disorder Treatment

  • The study primary end point is the decrease in the number of monthly heavy drinking days (HDD) (≥ 60 g/day in men and ≥ 40 g/d in women) from baseline to the end of the double blind Randomized Treatment (RT).
  • The Secondary end points will be designed to assess safety and tolerability and to further investigate the effect of pitolisant on other alcohol use criteria (e.g. total alcohol consumption, number of abstinence days), craving as well as the improvement in mental health (depression, sleep) and quality of life.
  • Total alcohol consumption (TAC) from baseline to end of treatment. TAC was defined as mean daily alcohol consumption in g/day over a month (28 days).
  • Percent of patients without HDDs during the 24 weeks RT phase of the study. (Continuous Controlled Drinking=CCD)
  • Percent of Abstinent Days during RT phase (PAD)
  • Continuous Abstinence Duration from baseline during 24 weeks RT phase (CAD)
  • 4-week point prevalence abstinence at end of treatment
  • Improvement in alcohol biomarkers (e.g. ALAT, ASAT, % CDT) during 24 week RT phase
  • Craving (Obsessive Compulsive Drinking Scale) during 24 week RT phase
  • Beck Depression Inventory (BDI) during 24 week RT phase
  • Quality of sleep (Pittsburgh Sleep Quality Index) during RT phase.
  • Treatment retention during 24 week RT
  • Quality of life (SF-12) during RT phase
  • Percent patients without HDDs during the OL follow up period
  • Quality of life (SF-12) during OL phase
  • Quality of sleep (Pittsburgh Sleep Quality Index) during OL phase
  • Treatment retention OL phase Safety will be assessed by evaluation of treatment emergent adverse events (TEAE), physical examinations, clinical laboratory tests (blood chemistry, hematology, and urinalysis), subsequent end of treatment potential withdrawal, evaluation scales and physical examination, measurement of heart rate, blood pressure, and body weight at each study visit )V0-FU5). If at ECG Fridericia's corrected QT interval ≥ 500 ms or if difference to baseline is ≥ 60 ms it will be required to check ECG by second measurement after lying down 10 minutes.
Being tested
Pitolisant (BF2.649), Placebo
Medical subject headings
Alcohol-Induced Disorders, Nervous System

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pitolisant (BF2.649)Drug

  • PlaceboDrug

Study groups in NCT02800083
Study groupRoleWhat they receive
Pitolisant (BF2.649)ExperimentalHistamine H3 receptor H3R antagonist/ inverse agonist
Receives: Drug: Pitolisant (BF2.649)
PlaceboPlacebo comparatorplacebo
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Monthly Heavy Drinking Days (HDD/month)

    Measured: Change from Baseline of Monthly Heavy Drinking Days and at week 24

Secondary outcomes (9)
  1. Total daily Alcohol Consumption (TAC)

    Measured: at week 24 versus Baseline

  2. Percent of Abstinent Days during 24 weeks medication phase (PAD)

    Measured: at week 24 versus Baseline

  3. Improvement in alcohol biomarkers (ALAT, ASAT, % CDT)

    Measured: at baseline , at week 4 , at week 8, at week 12, at week 16, at week 20 and at week 24. versus Baseline

  4. Continuous Abstinence Duration during 24 weeks medication phase (CAD)

    Measured: at week 24 versus Baseline

  5. Obsessive Compulsive Drinking Scale (OCDC)

    Measured: at week 24 versus Baseline

  6. Time Line Follow Back (TLFB)

    Measured: at week 24 versus Baseline

  7. Alcohol Use Disorders Identification Test (AUDIT)

    Measured: at week 24 versus Baseline

  8. Pittsburgh Sleep Quality Index (PSQI)

    Measured: at week 24 versus Baseline

  9. Quality of Life (SF-12)

    Measured: at week 24 versus Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jun 2016 (estimated)
  2. Study startOct 2016
  3. Primary completionDec 2019 (estimated)

Why it stopped: Sponsor decision

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02800083
Sponsor's protocol ID
P15-14/BF2.649
Acronym
PoC Alcohol
Status last verified
Jun 2016
First submitted
7 Jun 2016
Last updated
12 Jan 2017
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pitolisant (BF2.649) in people with Alcohol Abuse, Nervous System, run by Bioprojet.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 12 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Monthly Heavy Drinking Days (HDD/month) (time frame: Change from Baseline of Monthly Heavy Drinking Days and at week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2017.

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